![](/images/graphics-bg.png)
A Comparison between Two Instruments for Assessing Dependency in Daily Activities : Agreement of the Northwick Park Dependency Score with the Functional Independence Measure
Joint Authors
Stibrant Sunnerhagen, Katharina
Svensson, Siv
Source
Rehabilitation Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-11-18
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
There is a need for tools to assess dependency among persons with severe impairments.
Objectives.
The aim was to compare the Functional Independence Measure (FIM) and the Northwick Park Dependency Score (NPDS), in a sample from in-patient rehabilitation.
Material and Methods.
Data from 115 persons (20 to 65 years of age) with neurological impairments was gathered.
Analyses were made of sensitivity, specificity, positive predictive value, and negative predictive value.
Agreement of the scales was assessed with kappa and concordance with Goodman-Kruskal’s gamma.
Scale structures were explored using the Rank-Transformable Pattern of Agreement (RTPA).
Content validation was performed.
Results.
The sensitivity of the NPDS as compared to FIM varied between 0.53 (feeding) and 1.0 (mobility) and specificity between 0.64 (mobility) and 1.0 (bladder).
The positive predictive value varied from 0.62 (mobility) to 1.0 (bladder), and the negative predictive value varied from 0.48 (bowel) to 1.0 (mobility).
Agreement between the scales was moderate to good (four items) and excellent (three items).
Concordance was good, with a gamma of −.856, an asymptotic error (ase) of .025, and P<.000.
The parallel reliability between the FIM and the NPDS showed a tendency for NPDS to be more sensitive (having more categories) when dependency is high.
Conclusion.
FIM and NPDS complement each other.
NPDS can be used as a measure for severely injured patients who are sensitive when there is a high need of nursing time.
American Psychological Association (APA)
Svensson, Siv& Stibrant Sunnerhagen, Katharina. 2012. A Comparison between Two Instruments for Assessing Dependency in Daily Activities : Agreement of the Northwick Park Dependency Score with the Functional Independence Measure. Rehabilitation Research and Practice،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-497349
Modern Language Association (MLA)
Svensson, Siv& Stibrant Sunnerhagen, Katharina. A Comparison between Two Instruments for Assessing Dependency in Daily Activities : Agreement of the Northwick Park Dependency Score with the Functional Independence Measure. Rehabilitation Research and Practice No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-497349
American Medical Association (AMA)
Svensson, Siv& Stibrant Sunnerhagen, Katharina. A Comparison between Two Instruments for Assessing Dependency in Daily Activities : Agreement of the Northwick Park Dependency Score with the Functional Independence Measure. Rehabilitation Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-497349
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-497349